Stephen J. Graham, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

184400-1205 Issued in UT

Practice address

9983 E Desert Trail LN
Gold Canyon, AZ 85118-4922

Phone

(406) 425-1355

Fax

(801) 618-4185

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Balance Multicare, PLC

  • Chiropractor
  • Prescott, AZ
  • NPI 1700801594
  NPD (past)
• Prescott Valley Chiropractic LLC

  • Chiropractor
  • Prescott Valley, AZ
  • NPI 1366637746
  NPD (past)
• R Keith Farr DDS LLC

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1124672548
  NPD (past)
• Richard J Settles, DO, PC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1003093493

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1790778520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9983 E DESERT TRAIL LN",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851184922",
            "telephone_number": "064-251-3554",
            "fax_number": "801-618-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9983 E DESERT TRAIL LN",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851184922",
            "telephone_number": "406-425-1355",
            "fax_number": "801-618-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "184400-1205",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "19987",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "19987",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "184400-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508021",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gold Canyon Internal Medicine
• Gold Canyon Urgent Care
• Gold Canyon Urgent Care and Family Medicine
• Donna Marie Gordy, FNP-C
• James Sean Gorman, MD
• Michael Stephen Grams, DDS
• Gregg D. Davis D.C.,P.C.
• Mark Randall Grover, LMSW
• Tyler Gruwell
• Colene Guzman, AGACNP

• All providers in Gold Canyon, AZ
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.